Active NPI
Group 1 Orthodontics, LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Atlanta, GA
National Provider Identifier
1245957604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- GROUP 1 ORTHODONTICS, LLC
- Practice address
- 1350 Spring St NW
Atlanta, GA 30309-2864 - Phone
- (770) 648-1082
- NPI assigned
- Oct 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theodore Markos, DMD
- Title
- President/ Dentist
- Phone
- (617) 909-5459
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
1350 Spring St NW
Atlanta, GA 30309-2864
Mailing address
23 Olde Village Dr
Salem, MA 01970-1782
Phone (617) 909-5459
National Provider Directory
National Provider DirectoryLocations
1350 Spring St NW
Atlanta, GA 30309
Phone (770) 648-1082
3186 Lawrenceville Suwanee Rd
Ste 5
Suwanee, GA 30024
Phone (770) 222-2322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Atlanta, GA
- NPI 1295915767
Pediatric Dentistry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1245957604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 OLDE VILLAGE DR",
"city": "SALEM",
"state": "MA",
"postal_code": "019701782",
"telephone_number": "617-909-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SPRING ST NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092864",
"telephone_number": "770-648-1082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROUP 1 ORTHODONTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-25",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A",
"authorized_official_last_name": "MARKOS",
"authorized_official_first_name": "THEODORE",
"authorized_official_title_or_position": "PRESIDENT/ DENTIST",
"authorized_official_telephone_number": "617-909-5459",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.